| NPI | 1720367196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WH0200X Registered Nurse Home Health (Licence: NY 22578980) |
| Additional Taxonomies | 163WI0500X Registered Nurse Infusion Therapy (Licence: NY 22578980) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |